For seniors over the age of 65 in California, abuse and neglect are serious and highly prevalent issues. It's estimated that one in six seniors is the victim of abuse, and many of those suffer from multiple types of abuse simultaneously. As a relative, friend, or provider for a senior, it's your responsibility to ensure they are adequately cared for in a safe and loving environment.
So what do you do about known or suspected abuse? This guide will cover everything you need to know about reporting elder abuse in California, including how to recognize it and where to report elder abuse.
You'll also learn if you are a mandated reporter, state law surrounding both elder and dependent adult abuse and failure to report, and how to seek help from a California elder abuse lawyer.
California has a litany of laws regarding elder abuse, ranging from financial exploitation to sexual abuse. Generally, elder abuse is defined as any abusive act, be it mental, physical, or financial, which causes suffering to a senior victim. Elder abuse is usually perpetrated by a “caretaker,” be it a family member, unlicensed or licensed staff in a nursing home, or a health practitioner.
The types of elder abuse in California include:
If you’re concerned someone you know has experienced elder abuse, it's important to know what to look for. Call us for guidance on the next steps to take after reporting elder abuse to the proper authorities.

One reason that elder abuse in California is only reported for one out of every 14 cases is that many people don't understand how to recognize senior mistreatment. To help you understand what constitutes elder abuse and how to recognize what's happening, here are some possible warning signs of elder abuse to watch for:
For financial abuse specifically, indicators include adding a name to the elderly person's bank account, frequent withdrawals, checks made out to CASH, and frequent withdrawals by the caretaker without a previous compensation agreement.
Signs of abuse in seniors with dementia can be particularly challenging to recognize. You may notice evidence of physical restraint, like marks around the wrists, unexplained bruises or injuries, or a sudden change in behavior, particularly around caregivers or staff. If your loved one is in a nursing home and unable to speak for themselves, installing a nursing home camera in the resident's room may be an option.

Reporting elderly abuse in California can be confusing, with many agencies accepting abuse and neglect reports. The correct agency or department depends on where the senior or dependent adult lives (community, public, or private facility) and sometimes the type of abuse.
Here is an overview of the appropriate community agencies you should contact.
Other agencies allow you to file a complaint against a facility for neglect or elder abuse in California.
The California Department of Social Services accepts complaints against licensed facilities, including adult day programs and Residential Care Facilities for the Elderly (RCFEs).
The California Department of Public Health (CDPH) accepts complaints against licensed skilled nursing facilities (SNFs), intermediate care facilities, adult day health centers, rehab centers, and acute care hospitals.
How to report unsafe living conditions of elderly persons: First, consider where they live. If they live in the community, contact Adult Protective Services. If they live in a long-term care facility, abuse can be reported to the long-term care ombudsman and either CHPH or CDSS, depending on the type of facility.
Reports of abuse can be cross-reported to licensing boards, government agencies, and law enforcement to ensure action is taken.
If you suspect elder abuse and believe the victim is in immediate danger, the first and most important thing to do is call 911. Law enforcement and first responders will be able to quickly assess the situation and provide medical care to victims in need.
You can also report criminal behavior or neglect to your local law enforcement agency for a fast response. Police can perform a wellness check on an older or disabled adult and take action if necessary.
Adult Protective Services is a state and county-funded program designed to help seniors and dependent adults who are “unable to meet their own needs.”
Your county adult protective services department investigates cases of alleged abuse and cross-reports abuse to law enforcement, licensing boards, and other pertinent government agencies.
What does Adult Protective Services do? The older adult's individual needs will be assessed to develop a service plan. This may include removing the adult from their living situation and assisting with admittance to a facility or involving other agencies to protect an older adult from an abusive environment or caregiver.
When to call Adult Protective Services: Call APS if you have reasonable suspicion or knowledge that neglect or abuse is occurring. You do not need proof of abuse; APS will conduct its own investigation.
How to contact APS and report abuse: Call the APS elder abuse hotline at 1-833-401-0832. When prompted, enter your zip code to be connected to your county APS 24 hours per day.
Here is a full list of APS contact information by county to find your local office.
You should also print and fill out an elder abuse report and mail it to your local APS office.
Abuse that occurs in a licensed facility should be reported to the correct department.
The Department of Social Services investigates complaints and allegations of abuse and neglect in residential care facilities for the elderly (RCFEs) like assisted living facilities, continuing care retirement communities (CCRCs), and adult day programs. Call 844-LET-US-NO (844-538-8766) or report elder abuse online through the Community Care Licensing Division (CCLD).
The Department of Public Health investigates complaints and abuse in skilled nursing facilities or nursing homes, rehabilitation centers, adult day health centers, and intermediate care facilities. You can submit a complaint online.
The Office of the State Long-Term Care Ombudsman (OSLTCO) is a government agency that holds jurisdiction over investigations of elder abuse in California in long-term care facilities, nursing homes, day programs, assisted living facilities, and other care institutions.
A long-term care ombudsman represents families and nursing home residents to investigate and resolve complaints quickly. Your ombudsman can help you understand your legal rights and reach a resolution with services provided free of charge.
Below are resources to contact your local ombudsman. The CRISISline number takes calls and refers complaints it receives from long-term care residents.
Another way to report elder abuse in California is by calling a 24-hour hotline. There are several senior abuse hotlines, depending on where the senior lives or the suspected type of abuse.
The Attorney General's Office, Division of Medi-Cal Fraud and Elder Abuse (DMFEA) protects older adults, dependent adults, and children from medical fraud, financial abuse, and other forms of abuse and neglect that occur in long-term care facilities. The division has a criminal law unit to investigate and prosecute crimes against elders and dependent adults and a civil law unit to go after fraud by Medi-Cal providers.
Their Facilities Enforcement Team investigates and prosecutes the owners and operators of nursing homes, assisted living facilities, and hospitals for adopting or promoting practices that lead to poor care quality, neglect, or abuse.
Report elder abuse online using this complaint form or call the hotline at 800-722-0432 if you suspect abuse or Medi-Cal fraud.

California takes elder abuse reports very seriously, with many laws designed to protect vulnerable older adults and dependent adults.
All older adults have the right to be free of abuse and neglect. Nursing home residents have specific rights under the California Nursing Home Resident's Bill of Rights. Residents and family members can file a civil lawsuit against the facility for violations of a resident's rights.
California Penal Code 368 also makes elder abuse a crime. This California elder abuse law imposes criminal penalties for elderly abuse.
In California, the penalty for physical or mental abuse “under circumstances or conditions likely to produce great bodily harm or death” is punishable with at least one year in county jail, plus a $6,000 fine, or up to four years in state prison. Significant injury or resultant death of the senior can increase the state prison penalty by up to seven years.
In the case of financial abuse of elder and dependent adults, the penalty is up to one year in county prison plus a $1,000 fine, or up to four years in state prison when the value of the fraud exceeds $950.
Elder abuse reporting in California is mandated for those in direct contact with an elder or those who care for them, including those who perform medical care, assist or handle finances, or otherwise care for an elder.
California law defines a mandated reporter for adults who are dependent on care as someone who has “full or intermittent responsibility” for the custody or care of an elder or dependent adult, “whether or not they receive compensation.”
California mandated reporters include:
If you are a mandated reporter, you must report known or suspected abuse or neglect as soon as possible by phone. You must follow up with a written report within two days.
As long as an elder abuse report is given in good faith, with all details believed true by the reporter, there is no legal penalty if the report turns out to be misinformed. However, not reporting suspected abuse is a punishable offense. In California, failure to report can be either a misdemeanor or a felony.
For a misdemeanor failure to report, where the failure did not result in grave bodily harm or death, the penalty is up to six months in county jail and a fine of up to $1,000.
A felony failure to report occurs when the abuse resulted in the victim's death or great bodily injury. The punishment for this felony is up to one year in county jail and a fine of up to $5,000.

Before placing your loved one in a care facility or hiring in-home supportive services, do your research online to see if there have been cases of abuse or neglect against that institution. You can also call your local APS office to ask about existing or closed cases that are in the public domain. If a family member is the primary caretaker, and you have concerns, make sure to voice them to your family and present other options for eldercare.
If you suspect your relative, friend, or client is a victim, report the abuse immediately and ask for help removing them from their situation and finding a new care solution.
Anyone who suspects that an elderly resident is not receiving the care that he or she is entitled to can file a report with the California Department of Public Health against the offending nursing home. After you have filed the report with CDPH, you have many rights as a Complainant. Exercising these rights can ensure that your loved one receives the proper care.
California law requires that CDPH keep your identity, as well as the identity of any person named in the complaint, confidential and anonymous from the facility. CDPH is required by law to begin an onsite investigation of your complaint within ten working days after receiving the complaint, with the exception that DPH must begin its investigation within 24 hours if there is a threat of imminent danger, serious injury, or death.
Within two working days of filing your complaint of elder abuse in California, you must be notified of the name of the investigator assigned to your claim. You have the right to accompany the investigator to the facility during the investigation. CDPH must notify you in writing of its findings within 10 working days of the completion of its investigation.
If you are not satisfied with the findings of CDPH, you have the right to request an informal conference within five days of receipt of the findings. The conference with the DPH district manager or his/her representative will be scheduled within 30 days of your request, and you should be notified within 10 working days of the determination of CDPH.
If you are dissatisfied with the results of the informal conference, you have the right to appeal to the Deputy Director within 15 days of filing the informal conference. This is the final appeals process with CDPH, and though many CDPH investigations of nursing home complaints are completed to the satisfaction of the Complainant, this is not always the case, and you may need to seek other remedies.
After reporting elder abuse in California, an investigation will begin. An APS worker or other responder may contact you to get additional information about the incident. County APS programs must respond to reports within 10 days. Depending on the circumstances and the results of the initial investigation, additional agencies, such as a licensing agency, a long-term ombudsman, or local law enforcement, may be contacted to investigate further or take action.
The outcome of your report will depend on the type of intervention needed. An ombudsman may work with a facility and its staff to better meet a resident's needs, help family members use community resources, and/or help relocate the senior to another facility. Law enforcement may respond to arrest an abuse perpetrator committing elder abuse. Facilities may also be fined or face a wider investigation as a result of a report.
You can report elderly abuse anonymously or confidentially. You may wish to make an anonymous report if you are afraid of retaliation or concerned about your job as a medical provider.
Mandated reporters are required to identify themselves on written reports. Their identity can remain confidential. If you are not a mandated reporter, you can choose to report elder abuse in California anonymously.
Even if you are not a mandated reporter, it's ideal to give your contact information to Adult Protective Services (APS) or your local law enforcement agency so they can follow up and make sure they have all relevant information.
In California, if you’re a mandated reporter and you see, are told of, or reasonably suspect elder or dependent-adult abuse, you must report it right away by phone (or via an approved online tool) and then submit a written/online report within two working days. Special, faster timelines apply when the abuse happened in a long-term care facility (LTC).
Here's how to report elder financial abuse:
Are you seeking assistance with a civil case involving elder abuse of a loved one? The San Diego elder abuse attorneys at Berman & Riedel, LLP are here to help you. Call our law office today for a free case evaluation. We accept cases throughout California.




The first step is to report the abuse to the appropriate authorities. Call 911 if the situation is life-threatening. Otherwise, it can be reported to the police and appropriate agencies. For abuse in the community or a hospital, call Adult Protective Services at 1-833-401-0832. For abuse in a nursing home or long-term care facility, contact your local long-term care ombudsman or call 1-888-452-8609.
The next step is contacting a California elder neglect lawyer to help you safeguard your loved one’s rights, investigate the abuse, and hold the facility accountable.
There is no way to determine the exact value of an elder abuse or personal injury case, especially early in your case. However, an experienced attorney can give you an estimated range based on their experience with similar cases.
There are many factors that may influence the value of your case, such as:
Some damages are easy to calculate, such as lost wages and medical bills. Calculating the value of diminished earnings for the rest of your life or future medical needs, however, may require the help of experts. Non-economic damages like pain and suffering have no intrinsic financial value. These damages are challenging to calculate.
If your case goes before a jury, you may potentially be able to recover more than you could through a settlement. However, this introduces a new element of risk: the jury. The circumstances of your accident and even how sympathetic you or the defendant are can influence the outcome.
During your consultation and throughout your case, we will help you understand how these factors influence your case. We will also work tirelessly to document the value of all your damages and pursue maximum compensation on your behalf.




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